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General NPI Number Information
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NPI Number | 1972661817
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Entity Type | Organization
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Legal Business Name | QUALITY PATHOLOGY GROUP INC
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 01/29/2010
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Provider Practice Location Address
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Address Line | 5361 NW 33 AVENUE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309
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Country | US
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Telephone | 954-717-0299
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 63069
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City | N CHARLESTON
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State | SC
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Zip | 29406
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Country | US
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Telephone | 305-229-4311
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Fax | 305-229-4388
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARCELINO ALVAREZ
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Credential | MD
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Telephone | 954-717-0299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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